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To: Bureau of Developmental Disabilities Services Providers
From: Cathy Robinson, Director, Bureau of Developmental Disabilities Services
Re: Residential Habilitation and Support – Daily Rate Service Definition
Date: September 11, 2015
Provider Documentation Standards for Residential Habilitation and Support – Daily Rate Service Definition
Residential Habilitation and Support – Daily (RHS Daily) services provide up to a full day (24-hour basis) of services and supports which are designed to ensure the health, safety and welfare of the participant. RHS Daily services assist with the acquisition, improvement, and retention of skills necessary to support individuals to live successfully in their own homes; acquire and enhance natural supports; and become integrated and participate in their larger community. Services are designed to help individuals acquire and improve their self-help, socialization, and adaptive skills. Services should be directed toward increasing and maintaining natural supports, physical, intellectual, emotional, social functioning and full community participation.
Individuals Eligible for RHS Daily
Individuals who choose Residential Habilitation and Support (RHS) and meet all of the following criteria are eligible for and will utilize RHS Daily Services:
A minimum of one daily note for each day the individual is present and receiving RHS Daily services, with appropriate elements, documenting one or more distinct actions or behaviors as outlined in ‘Reimbursable Activities’ per individual served is required to support the billing of RHS Daily Services. The RHS Daily Service provider must able to demonstrate through relevant time keeping records or other similar documentation which staff members were working during the RHS Daily Service provided upon audit, or upon request by the State of Indiana or its contracted agents.
RHS Daily Documentation must include:
Documentation of Services rendered as outlined in the Individualized Support Plan Data record of service delivered documenting the complete date and time entry (including a.m. or p.m.). If the person providing the service is required to be professionally licensed, the title of that individual must also be included. For example, if a nurse provides RHS Daily services, the nurse’s title should be included.
Any significant issues involving the participant requiring intervention by a Health Care Professional, Case Manager or BDDS staff member are also to be documented. Documentation must be in compliance with 460IAC 6. Quarterly summaries as specified by BDDS and monthly, quarterly and/or annual outcome data as specified by BDDS.
Reimbursable waiver funded services furnished to an adult waiver participant by any combination of relative(s)* and/or legal guardian(s) may not exceed a total of 40 hours per week. (See Activities Not Allowed for definition of relative) Additionally,
Activities Not Allowed
Reimbursement is not available through RHS Daily in the following circumstances:
Enrolled as an active Medicaid provider
Must be DDRS-approved
Must comply with Indiana Administrative Code, 460 IAC 6
Must comply with any applicable BDDS service standards, guidelines, policies and/or manuals, including DDRS Waiver Manual and DDRS BDDS Policy Manual.
In accordance with Indiana Code [IC 12-11-1.1-1], Supported Living providers must be accredited by at least one (1) of the following organizations: